Table 1

Dimensions and items of the S-HSOPSC
1 Communication openness
C2 Staff will freely speak up if they see something that may negatively affect patient care
C4 Staff feel free to question the decisions or actions of those with more authority
C6r Staff are afraid to ask questions when something does not seem right
2 Feedback and communication about error
C1 We are given feedback about changes put into place based on event reports
C3 We are informed about errors that happen in this unit
C5 In this unit, we discuss ways to prevent errors from happening again
3 Frequency of error reporting
D1 When a mistake is made, but is caught and corrected before affecting the patient, how often is this reported?
D2 When a mistake is made, but has no potential to harm the patient, how often is this reported?
D3 When a mistake is made that could harm the patient, but does not, how often is this reported?
4 Handoffs and transitions between units and shifts
F3r Things “fall between the cracks” when transferring patients from one unit to another
F5r Important patient care information is often lost during shift changes
F7 Problems often occur in the exchange of information across units
F11 Shift changes are problematic for patients in this unit
5 Executive management support for patient safety
F1 Executive management provides a work climate that promotes patient safety
F8 The actions of executive management show that patient safety is a top priority
F9 Executive management seems interested in patient safety only after an adverse event happens
6 Nonpunitive response to error
A8 Staff feel like their mistakes are held against them
A12 When an event is reported, it feels like the person is being written up, not the problem
A16 Staff worry that mistakes they make are kept in their personnel file
7 Organizational learning–continuous improvement
A6 We are actively doing things to improve patient safety
A9 Mistakes have led to positive changes here
A13 After we make changes to improve patient safety, we evaluate their effectiveness
8 Overall perceptions of safety
A15 Patient safety is never sacrificed to get more work done
A18 Our procedures and systems are good at preventing errors from happening
A10 It is just by chance that more serious mistakes don´t happen around here
A17 We have patient safety problems in this unit
9 Staffing
A2 We have enough staff to handle the workload
A5 Staff in this unit work longer hours (scheduled hours including overtime) than is best for patient care
A7 We use more agency/temporary staff than is best for patient care
A14 We work in “crisis mode”, trying to do too much, too quickly
10 Supervisor/manager expectations and actions promoting safety
B1 My supervisor/manager says a good word when he/she sees a job done according to established safety procedures.
B2 My supervisor/manager seriously considers staff suggestions for improving patient safety
B3 Whenever pressure builds up, my supervisor/manager wants us to work faster, even if it means taking shortcuts
B4 My supervisor/manager overlooks patient safety problems that happen over and over
11 Teamwork across units
F4 There is good cooperation among units that need to work together
F10 Units work well together to provide the best care for patients
F2 Units do not coordinate well with each other
F6 It is often unpleasant to work with staff from other units
12 Teamwork within the unit
A1 People support one another in this unit
A3 When a lot of work needs to be done quickly, we work together as a team to get the work done
A4 In this unit, people treat each other with respect
A11 When one area in this unit gets really busy, others help out
13 Information and support to patients and family who have suffered an adverse event
G3 In this unit, apologies and regrets are given to patients and families who have suffered an adverse event
G4 In this unit, patients and families who have suffered an adverse event are informed about the event, its causes and actions taken to prevent it from happening again
G5 In this unit, patients and families who have suffered an adverse event, receive help and support in order to manage the situation
G6 In this unit, patients and families who have suffered an adverse event, are informed about the possibility to apply for economic compensation from the Patient Insurance
14 Information and support to staff who have been involved in an adverse event
G7 In this unit, staff who have been involved in an adverse event, receive information about actions taken to prevent the event from happening again
G8 In our unit, staff who have been involved in an adverse event, receive help and support in order to manage the situation
15 Patient safety grade
E Please give your unit an overall grade on patient safety
16 Number of events reported
G1 In the past 12 months, how many event reports have you filled out and submitted?
17 Number of risks reported
G2 In the past 12 months, how many risk reports have you filled out and submitted?

Hedsköld et al.

Hedsköld et al. BMC Health Services Research 2013 13:332   doi:10.1186/1472-6963-13-332

Open Data